MEDICARE: JENNIFER D CAMERON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	30064	AZ
2	207Q00000X	Family Medicine Physician	M6064	TX
3	208M00000X	Hospitalist Physician	M6064	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891751327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER D CAMERON MD

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	810 W HIGHWAY 71
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-8602
Country	:	US
Telephone Number	:	830-201-8000
Fax Number	:	830-201-8008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	03/17/2026

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